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Revista de la Asociación Española de Neuropsiquiatría

On-line version ISSN 2340-2733Print version ISSN 0211-5735


REGUERA NIETO, Eduardo Agustín. Attachment, Cortisol and stress in adults, a narrative review. Rev. Asoc. Esp. Neuropsiq. [online]. 2015, vol.35, n.125, pp.53-77. ISSN 2340-2733.

This article provides a narrative review of the pathophysiology of insufficient glucocorticoid signaling states in adults and their relation to chronic stress. These would be common to a number of interrelated disorders, such as posttraumatic stress disorder, chronic fatigue syndrome or fibromyalgia. In this sense, it highlights the importance of insecure attachment styles as generators / perpetuators of these states hypocortisolism, even in the absence of psychiatric symptoms. There is growing evidence about the possibility of reversing this dysfunction with psychotherapeutic or pharmacological techniques. However, further research on the biological impact of attachment-based techniques and their role in resilience processes is required.

Keywords : object attachment; adults; resilience; stress; glucocorticoids; mineralocorticoids; hypothalamo-hypophyseal system; pituitary-adrenal system; psychotherapy; treatment.

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